Registration for a Location Specific Practice Number form (HW061)

Complete this form to register for a Location Specific Practice Number (LSPN). A registration form is required for each practice site and must be signed by a proprietor or authorised representative.

 

Page last updated: 5 February 2016

This information was printed Wednesday 28 September 2016 from humanservices.gov.au/health-professionals/forms/hw061 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.